Pregnancy Complications

Question 1

BP >140/90 after the 20th week of gestation. No pre-existing HTN, No proteinuria

Answer 1

Gestational HTN

Question 2

Tx of Gestational HTN

Answer 2

alpha-methyldopa, labetalol, hydralyzine, nifedipine; deliver at 39weeks

Question 3

HTN >140/90 and proteinuria after 20th week gestation to 6weeks post partum

Answer 3

Preeclampsia

Question 4

Caused by abnormal placental spiral arteries, results in maternal endothelial dysfunction, vasoconstriction or hyperreflexia

Answer 4

Preeclampsia

Question 5

Increase the incidence of preeclampsia

Answer 5

preexisiting HTN, diabetes, chronic renal disease, or autoimmune disorders

Question 6

Complications associated with preeclampsia

Answer 6

placental abruption, coagulopathy, renal failure, uteroplacental insufficiency or eclampsia

Question 7

Tx of Preeclampsia

Answer 7

alpha-methyldopa, labetalol, hydralyzine, nifedipine; IV magnesium sulfate to prevent seizure
Deliver at 34weeks if severe
Deliver at 37 weeks if mild

Question 8

Preeclampsia + seizures

Answer 8

Eclampsia

Question 9

Tx of eclampsia

Answer 9

antihyptertensives; Mg-sulfate and immediate delivery

Question 10

HELLP syndrome

Answer 10

Hemolysis, Elevated liver enzymes, Low Platelets

Question 11

Death of healthy infant 1month to 1year without cause

Answer 11

SIDS

Question 12

Gestation pathway of Choriocarcinoma

Answer 12

Responds well to chemo

Question 13

Germ cell pathway of Choriocarcinoma

Answer 13

Does not respond well to chemo

Question 14

Premature separation of placenta from uterine wall before delivery of infant (bleeding can be concealed or apparent depending attachment site)

Answer 14

Placental abruption

Question 15

Placenta attaches to myometrium without penetrating it

Answer 15

Placenta accreta

Question 16

Placenta invades into myometrium

Answer 16

Placenta increta

Question 17

Placenta penetrates through the myometrium and into uterine serosa

Answer 17

Placenta percreta

Question 18

No separation of placenta after delivery, massive bleeding

Answer 18

Placenta accreta/increta/percreta

Question 19

Attachment of placenta to lower uterine segments near the os, partially over the os, or completely over the os

Answer 19

Placenta previa

Question 20

Miscarriage of fetus 20weeks before gestation

Answer 20

Spontaneous abortion

Question 21

Most common site of ectopic pregnancy

Answer 21

Ampulla of fallopian tube

Question 22

> 1.5-2L of amniotic fluid

Answer 22

Polyhydraminos

Answer 23

Oligohydraminos

Question 24

esophageal/duodenal atresia, anencephaly, maternal diabetes, fetal anemia, multiple gestations

Answer 24

Causes of Polyhydraminos

Question 25

Placental insufficiency, BL renal agenesis or posterior urethral valves in males

Answer 25

Causes of Oligohydraminos (if profound will lead to potter sequence)

Question 26

secondary amenorrhea due to loss of basalis as a result of D&C

Answer 26

Asherman Syndrome